Tricia Lyn Dissmore, RPH, PHARMD
NPI 1083891584ActiveIndividual· Pharmacist, Pharmacotherapy· La Crosse, WI
Pharmacist, Pharmacotherapy (RPH, PHARMD) in La Crosse, Wisconsin, licensed in WI and MN, with an NPI issued in January 2008.
Overview
| NPI | 1083891584 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH, PHARMD |
| Sole proprietor | No |
| NPI issued | Jan 28, 2008 |
| Last updated in NPPES | Feb 26, 2021 |
| Certified by provider | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 14754-00 | WI |
| Pharmacist, Pharmacotherapy | 1835P1200X | 122216 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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